| Rose Medical Clinic Llc | |
|
1509 Main St Parsons KS 67357-3332 | |
| (620) 421-0808 | |
| (620) 421-0810 |
| Full Name | Rose Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1509 Main St, Parsons, Kansas |
| Authorized Official Name and Position | Thomas A. Rose (SOLE PROPRIETOR) |
| Authorized Official Contact | 6204210808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Medical Clinic Llc 1509 Main St Parsons KS 67357-3332 Ph: (620) 421-0808 | Rose Medical Clinic Llc 1509 Main St Parsons KS 67357-3332 Ph: (620) 421-0808 |
| NPI Number | 1467659243 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467659243 | NPI | - | NPPES |
| 100314830D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-27344 (Kansas) | Primary |
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